Active NPI 1770749905 Individual Practitioner Female Practitioner

Alfaye Jackson , PLPC

Counselor - Professional • Rolla, MO

Professional Overview & Biography Verified Profile Summary

Alfaye Jackson, PLPC is a registered healthcare professional specializing in Counselor - Professional in Rolla, MO. Practice services are available at 104 FOX CREEK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

104 Fox Creek Rd

Rolla, MO 654013620

Telephone 4176932770

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Rolla, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.4 Yrs

State Avg: 13.5 Yrs

Regional Practice Density

62 Specialists

Practicing in Rolla, MO (5929 Statewide)

Telehealth Adoption Rate

4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-21

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MO 2015044726

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License MO 2008015070

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

490047336 (MO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location November 21, 2022

Registered at 104 FOX CREEK RD, ROLLA, MO 654013620 (Tel: 4176932770)

📍

Updated Business Mailing Address November 21, 2022

Registered at 104 FOX CREEK RD, ROLLA, MO 654013620

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2022

Counselor (License #2008015070 in MO)

📍

Updated Practice Location July 16, 2021

Registered at 3100 S NATIONAL AVE STE 103, SPRINGFIELD, MO 658077347 (Tel: 4173226622)

📍

Updated Business Mailing Address July 16, 2021

Registered at 3600 S NATIONAL AVE, SPRINGFIELD, MO 658077311 (Tel: 4173226622)

📍

Updated Practice Location July 24, 2019

Registered at 1949 E CHERRY ST, SPRINGFIELD, MO 65802 (Tel: 4177610300)

📍

Updated Business Mailing Address July 24, 2019

Registered at 3101C S KIMBROUGH AVE, SPRINGFIELD, MO 658075011 (Tel: 4178667773)

📍

Updated Practice Location March 12, 2019

Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804 (Tel: 4177615000)

📍

Updated Business Mailing Address March 12, 2019

Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2019

Counselor (License #2015044726 in MO)

✅

NPI Profile Active August 07, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2008

Registered at 104 FOX CREEK RD, ROLLA, MO 654013620 (Tel: 5733084809)

📍

Updated Business Mailing Address August 07, 2008

Registered at 104 FOX CREEK RD, ROLLA, MO 654013620 (Tel: 5733084809)

👤

Provider Name / Credentials Updated August 07, 2008

Recorded as ALFAYE JACKSON, PLPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2008

Counselor (License #2008015070 in MO)

🟢

Initial NPI Registration & Enumeration August 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770749905

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 07, 2008

Last Update: November 21, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

104 Fox Creek Rd

Rolla, MO 654013620

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.